Need help with care plan for someone with pneumonia and C.Diff

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Hi, hopefully someone can help me. My patient had pneumonia and c.diff was pretty skinny, had a dobhoff in and a central line (although i'm not sure the last one matters) I was thinking that my main diagnosis would be altered nutrition, but looking in all my books I can only find altered nutrion; more or less body requirements. I would choose the one for less body requirements but one of my books said that this diagnosis wasn't for people who were NPO (which they were) . So now I'm confused on what diagnosis i can use that deals with altered nutrition. Also for the as manifested by's i've got diarrhea, placement of dobhoff, and weight loss. I know there based off what is in the chart but are there other types of things that i should include in that list. Pretty confused and my books are only making it worse. Thanks for any help.

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Specializes in Medical and general practice now LTC.

Moved to the General Student discussion Forum

Suggest a search in this forum as there are many threads discussing care plans etc

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Specializes in ER/ICU/STICU.
Hi, hopefully someone can help me. My patient had pneumonia and c.diff was pretty skinny, had a dobhoff in and a central line (although i'm not sure the last one matters) I was thinking that my main diagnosis would be altered nutrition, but looking in all my books I can only find altered nutrion; more or less body requirements. I would choose the one for less body requirements but one of my books said that this diagnosis wasn't for people who were NPO (which they were) . So now I'm confused on what diagnosis i can use that deals with altered nutrition. Also for the as manifested by's i've got diarrhea, placement of dobhoff, and weight loss. I know there based off what is in the chart but are there other types of things that i should include in that list. Pretty confused and my books are only making it worse. Thanks for any help.

I don't know why you couldn't use less than body requirements just because they are NPO. Unless they are getting TPN than they are clearly getting less than their body requirements.

Having a central line is important because it is another possible site for infection.

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I don't understand why you aren't writing this care plan on pneumonia? Surely the respiratory instability trumps nutritional concerns at this point?

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Specializes in CEN, SCRN.

Infection and Impaired Skin Integrity would also be two things to consider. Infection well, pneumonia and as someone else said, the central. Skin integrity because of the c.diff.

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Specializes in Cath Lab/ ICU.

The nutrition problems are the least of this patients problems. Respiratory issues, Infection (active infection, DHT, CL, etc) Fluid volume deficit r/diarrhea, skin integrity, etc

The nutrition...Important, but last on the list. This patients priority is her PNA, then her cdiff...

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